Posts tagged Patient

when are anorexic patient put into inpatient treatment?

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Question : when are anorexic patient put into inpatient treatment?

im 17 and suffering from an eating disorder so i mean not eating much and still loosing weight
anorexic treatment

Best answer:

Answer by James B
Do you mean a Cancer patient not eating or What

dying patient and the right to be taken on life support

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the patient’s right to die and be taken on />
life support
Terry Shiavo by />
to support one of the most egregious consequences of the battle of life, the story of Terry Shiavo has headlines for several months now, that was the unconscious woman, who for 15 years on the substances it has received from her feeding tube lived the center of a legal dispute between her husband and her parents. support life is one of the most controversial issues of medical practice today are used to raise funds and human efforts in the rescue of a meaningless life of this woman was injected as the lives of many patients who tortured recorded instead of the artificial prolongation of life through life-support systems be.
Several courts reviewed the case and ended the fight now that Terry hunger by removing his breathing tube 18th March caused death. Schiavo collapsed in 1990 from brain damage caused by a chemical imbalance, resulting from an eating disorder (Torday 2005). From the time she lost consciousness from lack of oxygen, she was kept in the center in a vegetative state in a hospice in Pinellas Park, Florida.
Guardian of Terry, her husband, Michael Schiavo, said that Terry should be allowed to die and insisted on removal of the tube. Her parents, Bob and Mary Schindler, however, insisted that Terry’s life should be supported also claims that her daughter reacts to external stimuli (Word 2005),. Both sides have their supporters, the street protests in support of their views stage, and the media, both in the U.S. and abroad have followed the story closely. Michael Schiavo has insisted that his wife made their wishes and told his uncle and his best friend, she would not the rest of his life in a vegetative state. George felos, Michael Schiavo lawyer said his words: “They said:” I do not want to be kept alive artificially – No tubes for me I go when my time comes to the pipes that .. and everything “(Barrett 2005). Terri’s parents, however, feel that their daughter could condition with an intensive treatment to improve, and we try to keep them alive
Parents in the fight against the unconscious body Schiavo have made numerous attempts to resolve the issue before the court. In seven years the case was by the judges of Florida to 19 (Torday 2005) belongs. All consistently supported Michael Schiavo and refused to reintegrate the tube. The permanent removal of the feeding tube to the rejection of the petition Schindler to the Supreme Court of Florida, where the couple’s request on 26 March. Schindler was denied occurred five times tried to contact the U.S. Supreme Court has consistently refused to get involved. the parents’ appeal to the 11th U.S. Circuit Court of Appeals in Atlanta is not successful (Torday 2005) has been fulfilled.
The case seems to be a purely family matter came up by the highest authorities of the United States, including U.S. President George Bush and Congress incorporated. George W. Bush on 21 March signed laws that allowed the Schindlers seek reintegration of the tube. The law was before the House of Representatives and the Senate passed a vote of 203-58 in the House. The opponents of the law, including Michael Schiavo himself, were strongly against the measures they saw protests as interference in the privacy of individuals. Bush, however, said that adoption of the law as follows: “brought Democrats and Republicans in Congress met last night to the parents of Terri Schiavo another opportunity to save their daughter’s life.” “This is a complex case of severe problems he added. “But in extraordinary circumstances such as these, it is advisable to be on the safe side of life” (Barrett 2005). This action does not apply to the federal judge last call refused to bottom, said Terri drifting toward death.
Another government official of high rank, that was the case as an intervener by Florida Governor Jeb Bush. He supported Terri’s parents and pleaded for reintegration of the tube. Finally, he said he would not to fix the pipe. It was obviously not able to do so after numerous court rulings in favor of Michael Schiavo and the collapse of the bill in the Senate from Florida, which called for the reintegration of the tube procedure.
Business controversial right-to-the
The crux of the matter does not seem to make a decision between life and death, but engage the debate over the extent to which state and society in the life of an individual or family. The suspect most of the cases studied so far, that should a person’s life in the hands of nature is in the case of terminally ill patients are left in a vegetative state, but / ban>
An example is the case of Washington v. Glucksberg was decided by the Supreme Court of the United States 26th June 1997 (No 521 U.S. 702 (1997)). Dr. Harold Glucksberg presented in this case, the question: "the prohibition of Washington assisted suicide against the Fourteenth Amendment, the Due Process has to choose Article by denying terminally ill competent adults the freedom to the death rather than life?" (Oyez, 1997 ). The court disagreed with the assertion that the prohibition of the state of human rights and fundamental freedoms violated. The rejection was carried out with the belief that the practice was "offensive to our traditions and practices" (Oyez, 1997), ANF was able to lift the embargo at the expense of freedom and national interests.
Vacco v. Quill, a similar case (521 U.S. 793 (1997)) held 26th June 1997 was to prove that “the prohibition in New York on physician-assisted suicide violate the Fourteenth Amendment [s], protection under Article right to remove it to the competent terminally ill adults their own salvage therapy, but the denial of the right for patients who do not withdraw their own treatment and could only hope that the doctor do for them “(Oyez, 1997). The court ruled against the motion, the difference between euthanasia and disposal of salvage therapy, as medically assisted suicide include causation and intention to terminate the life of a patient.
Fifteen years ago, the Supreme Court has recognized that the patient has to deny a constitutional right to lifesaving treatment. However, he called the family or guardians of the proof of the will of the patient. This was required, for example, Nancy Cruzan family that was in a coma when his case be reviewed by the court. The case was referred to the Court of the State of Missouri, referred to the conclusion that it was actually said his wish to die before she fell into a coma. The case of the young woman of 25 who “skidded off the road overturned, and was out of his car thrown in a ditch” in 1983 (University of Virginia) was the first case, die on the right side before the Supreme Court of United States to hear.
Recent cases
One of the most notorious cases in the discussion of the right to die is the connection with the activities of Dr. Kevorkian, a controversial doctor who sought to prove his right to die to help the patient. Therefore, 26th March 1999, in Michigan, he was found guilty of second degree murder. Death with Dignity Act, adopted in 1994, Oregon voters, by a narrow margin of 51% to 49%, was supposedly inspired by the activities of Kevorkian. Under this law a competent adult has the right to request a lethal injection by a health professional if he or she is terminally ill.
In Spain, the case of Ramon Sampedro the center of public attention, the person who brought the man paralyzed in an accident 29 years trying to defend his right to assisted suicide. Court decisions, he was asked by the Spanish courts and get the European Commission in Strasbourg. After experiencing the disabling accident at the age of 29, he died at the age of 55
Scientific />
In distinguishing the decision on the fate of a comatose patient, the court between the different conditions. Said Terri Schiavo was in persistent vegetative state (PVS), one to terminate in which a patient rather for permission to seek life-sustaining treatment from a court. Are there patients who are in a "minimally conscious state (MCS), and" in contrast to PVS patients are able, pain (and pleasure) feel, but because they are so limited in their means of expression can not be sure how well a particular patient MCS, pain, suffering and humiliation "(Mello, 1999). As these patients still being able to feel pain and suffering by prolonged immobilization, they still need permission to use the life-support systems at the end of its argument to remove, is very important in assessing the possibility of abolishing the system of life support. if the patient is able to feel the pain and suffering (and it is likely that physicians are not always judge appropriately able Leiden) .
Now we see more cases, the doctors argue against maintaining the patient’s life and say that “this drug should not be used for torture to death” (Morreim 1994). This point of view of doctors must be approved on the grounds that the doctors know better than that from the medical field, that the right to die to protect the patient from unnecessary suffering. In cases where the patient is not expected by medical experts call it “morally obligatory to aggressive treatment should stop (Morreim 1994), as the future treatment is often unnecessary and cruel.
Denial of life support as a means of extending the patient’s suffering is for the preservation of what is decided by many as a personal right, the right to his own life and death of man related. This conclusion is inevitable, “respecting the autonomy of [the patient] as amended by replacing the decision [his] agent alternative and compatible with the principle of nonmaleficence (Bednarz, 2000) expressed. Even if the person is not in a vegetative state as a full person, deep in the person himself, the thinking and feeling, and its decisions must be respected.
It is clearly necessary to vote in the action with the wishes of the previous patient. Thus, the courts will have a “clear and convincing standard’de these requests is often assumed to useless for the patient. Complicating task of the caretaker,” the courts generally require that the patient views the medical situation, she said now, if he the statement made, but without a preference for the treatment “(Mello, 1999).


Conclusion
In conclusion, specific criteria for the maintenance or withdrawal of life support systems have not been developed by the legal system. The right to die should be a right inherent in human life in today’s world, where people more control and more about their rights. The courts have a point in the requirement for presentation of a patient earlier requests, but as this will not always be detected levied, the assertion often leads people alive artificially if they do not want to be really reduced to a life of a comatose body. To simplify the court decisions in these cases it is would be useful to include a question on life support with the standard procedures of the insurance. Then, each person signed the paper, stating the wish that the life support system be withdrawn if a terminal illness or coma can be safely allowed to die in peace.
In addition, we have the economic aspect of the matter. A person can be prone to make for a developed country, hold down the type of treatment the person is awake, a lot of financial and human resources that can be used to eat better. We live in an age where many people still need food, clothing and most basic things;. Meanwhile, huge funds are being used to keep a balance between life and death of individuals maintain
The case of the removal of life support is particularly acute in relation to patients, as in a minimally conscious state, can still feel the pain and suffering. These people should be concerned over, if their chances of survival are low. The company would be more lenient, so that these patients die rather than subject in recent years to suffer.

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Florida treatment of eating disorders

A patient is taking cancer chemotherapy for breast cancer and developed complete hair loss. This hair loss wo?

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Question : A patient is taking cancer chemotherapy for breast cancer and developed complete hair loss. This hair loss wo?
A patient is taking cancer chemotherapy for breast cancer and developed complete hair loss. This hair loss would be an example of a/an

a. side effect
b. adverse effect
c. toxic reaction
d. idiosyncratic reaction
breast cancer chemotherapy

Best answer:

Answer by Drexl
Wow this world really is screwed if people in medical school aren’t doing their own homework. Geeze I hope I never end up sick in your hospital.

Living with and caring for a dementia patient

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live in the same house with a relative or family member with dementia can be very difficult. Not only can that we are constantly at someone completely different from the person we knew, we need to learn coping strategies to bring to the limitations and frustrations of dementia be much. Although mild cases of dementia, some incidents may include supervision or need help with dressing, other require moderate to severe levels of us, with personality changes and mood swings deal sometimes make the dangerous environment or stress load.

Since changes in the behavior of the victim to dementia, we must change our own behavior. We still can not to a person showing symptoms of dementia in the same manner we have before, especially when treating their condition show a marked decline in cognitive abilities. Find ways to deal with someone who constantly forgets that this is not recognize us and who might try to flee or disoriented deal is often a challenge, but there are many tips and tricks to living with dementia to meet even if it is not our own t .

The most important thing in mind when thinking of people with dementia is to maintain that their state and behavior is not their fault. Dementia do not ask to be withdrawn have their memories and they never wanted to have someone with them to eat or wear. They are frustrated in their new constraints is the same as we are, and put in its place is often a good way to maintain perspective. Despite their struggles can be difficult for you, they are doubly irritating to the victims.

Important tips for daily life

The best way to deal with a person with dementia is calm and rational. Become a Snappy or help them not to scream and the situation will likely worsen because of the noise and tension. If you said something or done a dementia patient to respond, they need quiet and comfortable as possible. Try not to things that do not matter persisted. For example, if a patient with dementia forget your name and call John, even if you remember David, to accept and let go John.

Move the same way, speak softly and calmly. Sudden acts or sudden movements can scare people with dementia and dementia, the need to protect themselves, who feel in a moment of aggression result. Sharp, noise can also surprise and confusion about what is happening, do not shout or bang doors. Enter a quiet and peaceful, each time one of the best approaches for people with dementia.


Symptoms of dementia

Who should be responsible for understanding a patients dental benefits? The patient or the dentist office?

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Question : Who should be responsible for understanding a patients dental benefits? The patient or the dentist office?
Having been a dental assistant for 10 yrs., I have always been told that it is the patients responsibility to know their own benefits. However I see patients daily who don’t understand a thing about their dental insurance, especially when it comes to going out of network. It seems like when you try to explain it to them, they get mad at the dental office instead of their insurance company, as if they think we are making it all up. They have usually heard things about insurance from friends, family or coworkers and take that as the gospal. Who should be responsible for knowing details of the insurance plans? Taking into consideration that most dentists accept numerous insurance plans, and each plan has hundreds of individual policies, each having different rules and regulations.
dental benefits

Best answer:

Answer by Joe Rockhead
It is the patient’s responsibility to understand their benefits. All too often, people don’t take the initiative to understand what they’ve bought or is provided to them through their place of employment. Maybe ignorance is bliss, but it doesn’t help pay the bills and it certainly may leave money on the table.

What might happen if a patient takes too much hypertension medication?

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Question : What might happen if a patient takes too much hypertension medication?
Out of curiosity, if a patient is taking a blood thinner in order to lower their blood pressure, what might occur if too much was taken? Nothing extreme, but say three or four times the recommended dose?
hypertension medication

Best answer:

Answer by celestialgrl18
They can bleed out

Tips for Diabetic, High BP, High Cholesterol and Gout Patient?

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Question : Tips for Diabetic, High BP, High Cholesterol and Gout Patient?
My dad is diabetic, has high blood pressure, high cholesterol and he has gout(uric acid problem). So I need to know more about what he must do to stay in the safe zone.

He is overweight, but the weird thing is only his tummy is fat, his arms, chests and legs are all very normal. He is planning to control his diet but we are clueless as to what he should eat and what he should not(e.g. food that will not worsen his diabetes may worsen his gout).

He is also starting to exercise, 45-60mins of brisk walking in the morning, 5 day a week. Is this enough?

Here are some readings:

Fasting Blood Glucose Level: 132 mg/dL
Blood Pressure: 148/91
Cholesterol: I am not sure but this was the first condition that he developed.
diabetes and zone diet

Best answer:

Answer by drew
Hey, I know eating green apples helps lower cholestserol. Alcohol consumption will definitely worsen his gout.

Language barriers the patient and provider of services related to poor diabetes control

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patients who can not discuss their diabetes by a doctor in their own language may have worse health, even if interpretation services are available, according to a new study by researchers at UCSF and Kaiser Permanente Division of Research.

The study found that among Latino diabetic patients with limited English skills of the doctors who did not speak Spanish have seen almost twice as many poor control of blood sugar than those whose doctors speak Spanish.

Findings appear in the January 2011 version of the Journal of General Internal Medicine and are available online at www.SpringerLink.com.

The study, carried out in patients with access to interpreters, is the first to the language barriers lead to poorer health associated with diabetes. It considered only speak Spanish.

â? Diabetes is a complex disease that requires a high degree of patient understanding and commitment to successful management, â? Alicia said Fernandez, MD, UCSF professor of medicine and lead author of the study. â? These patients need to manage the direct communication with Spanish-speaking doctors treat disease> appropriately.â ????

The team surveyed adults with diabetes, part of the study of diabetes in Northern California (removal) of the patients of Kaiser Permanente Northern California Diabetes Registry, and compared the rate of blood sugar control in patients Latino.

Overall, the study found that patients worse control of their disease than white English-speaking Latino patients had. Latinos same Anglo-Saxon countries, almost double that of poor blood sugar control compared to Caucasians

However, the researchers found no difference between the blood sugar control Latinos and non-English speaking Latinos to speak, if they have access to a doctor who spoke their language. If Latinos with limited English had a doctor who does not speak Spanish, but 28 percent of patients, poor control of diabetes, compared with 16 percent of respondents had with Spanish-speaking doctors. Only 10 percent of white patients had poor blood sugar control.

percent more than 8 of the U.S. population, there are 18 million adults speak English less than very well in 2000 U.S. census, and the majority (14 million) speak Spanish as their first language. The Latino population of the United States is growing rapidly and has one of the highest rates of diabetes, the authors presented.

â? The study adds evidence that the conversation between doctor and patient is critical to the success of the Diabetes Care, is one? said lead author Andrew Karter, PhD, lead investigator of the study DISTANCE research associate at the Kaiser Permanente Division

Research.

â? Our studies underscore the need to increase efforts to improve quality of diabetes care in order to reduce health inequalities with language, in addition to ethnicity, â? Karter said. â? As the U.S. increasingly diverse linguistically, and that the prevalence of diabetes continues to rise, it becomes increasingly important to understand how language barriers can prevent patients from receiving the best care.â p?

Although this study do not prove definitively that language barriers cause the disparity in the fight against diabetes, suggests the importance of direct communication with a doctor, the patient speaks’???? s language, say the authors. Recommended that the plans for the health of patients with diabetes have a doctor who speaks the patient? S language, if possible.

data collection and analysis of this study was conducted through distance education, enrolled 20,000 patients of Kaiser Permanente Northern California Diabetes Registry. The primary objective is the distance to education and ethnic differences in diabetes-behavior, care processes and outcomes to study.

Co-authors include Dean Schillinger, MD, UCSF Center for vulnerable groups; Yaëlle Schenker, MD, and Victoria Salgado, MD, UCSF Division of General Internal Medicine at San Francisco General Hospital, Nancy E. Adler, Ph.D. ., UCSF Center for Health and Community, and Margaret Wharton, MPH, Howard H. Moffet, MPH, and Ameena Ahmed, MD, Department of Research, Kaiser Permanente Northern California

.
DISTANCE

study and the research team were from the National Institute of Diabetes, Digestive and Kidney Diseases, National Institute of Child Health and Human Development and funded National Center for Research Resources. Sarkar was supported by the Agency for Healthcare Research and Quality Assurance. Schillinger is through a grant from the Agency for Healthcare Research and Quality and the NIH Clinical and Translational Science Award support.


Kaiser Permanente leads

Division of Research, publish and disseminate epidemiological and health services for improving medical care and the health of members of Kaiser Permanente and the society as a whole. He tries to understand the determinants of disease and improve well-being and the quality and effectiveness of health systems. Currently, Dora? S more than 500 employees work at more than 250 epidemiological and health services research projects. For more information, please visit www.dor.kaiser.org.

UCSF is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate education in life sciences and health professions, and excellence in patient care. Visit ucsf.edu.

follow on Twitter at UCSF http://twitter.com/ucsf.


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Headache Medicine

How many maximum days a patient can spend before starting chemotherapy and after the breast cancer surgery ?

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Question : How many maximum days a patient can spend before starting chemotherapy and after the breast cancer surgery ?
I would like to know that how urgent is the chemotherapy after the breast cancer surgery. The patient is 51 yr of age lady and has a Stage-III tumor (3.5×3.5x3cm) which was removed by MRM. and what are the precautions to be taken while, during and after the chemotherapy. The patient also has Hyper tension and is diabetic.
breast cancer chemotherapy

Best answer:

Answer by Nurse For 20 Years
Every doctor is different on their opinion on when to start chemo. The doctor is also the person that you need to speak to about your chemo questions. That is the person to trust for accurate information, not any strangers here. This is someones life you’re talking about. Go to the right source.

what will happen to the breast cancer patient after chemotherapy but no surgery nor other treatment?

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Question : what will happen to the breast cancer patient after chemotherapy but no surgery nor other treatment?
my aunt had stage 3 breast cancer & undergone chemotherapy a year ago, after that she refused to have any further treatment including surgery & radiation. recently the whole breast is opened up with pus, whole breast upto the armpit is too hard. she refused to take any medication, actually she has psychiatric problem. she only let me change the dressing at home once a day. any idea what will happen next in such case?
breast cancer chemotherapy

Best answer:

Answer by Jenny2010
If She refuses any treatment the cancer will get worse and eventually spread to other parts of her body.

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